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UNDERGROUND TANK PROGRAM OFFICIAL INSPECTYON REPORT <br /> COUNTY NAM <br /> `ITE NAME pp INSP DATE: <br /> f� • ' SI YFF o, g- G- ? 7 <br /> " oLd �a-4O� <br /> t •SITE 1►DD�IE55 77 C/S/L LcLhr 9S-33o <br /> CHANGES ER—,* TANK TANK- z TANK TANK <br /> YES Nb "N:! Rm SUBMIT.' rot Tte- S&I sD r PC L) w r ID i <br /> SITE COED. r TYPE Ipgp <br /> PER r�p c�oDC��L PER r/q ZCAL PER. r PER r <br /> e1Q' I311Td EXP DATE EXP DATE EXP DATE <br /> OPERATIO"L viauT7as 117=1 777777777 <br /> 1. Permit to Operate <br /> 2. Change in Cond. to Operate <br /> 3. Approved Construction <br /> 4. written monitoring Procedures <br /> S. Approved Monitoring Systam <br /> 6. Monitoring Systee Operational <br /> 7. Approved Monitoring Frequency <br /> S. Monitoring Records Maintained <br /> 9. Access Casing Secured <br /> 10. Piping <br /> 11. Inventory Reconciliation <br /> 12. Tank Guaging <br /> 13. Approved Response Plan <br /> 14. Unauthorized Release Occurrence <br /> 15. Sampling <br /> 16. Approved Tank Repalrm <br /> 17. Unauthorized Release Reported <br /> 18 Safety Hazard <br /> 19. Conditions Abated .. . <br /> 7EMPORARY CLOSU18 <br /> 20. Removal of Residual Materials <br /> 21. Flammable Vapors Removed <br /> 22. Access Locations Sealed <br /> 23. Power Disconnected <br /> 24. Omer/Operator Monitoring <br /> POINKM NT CLOSUM <br /> 25. Removal of Residual Materials TP 17177T <br /> 26. Piping <br /> 27. Flammable Vapors Removed <br /> 28. Unauthorized Release <br /> 29 Senpling <br /> 30. Lnproper Abandoruaent <br /> 'E'ne rked Items apreeent violet a and must be corrected alollow: 1 <br /> C - I0015 i O /` n G II ✓t' # re e-isI <br /> . n_ <br /> 11 �el <br /> P I G' " A - r 5 6L(i Q. a i 717(t) ctv7 <br /> QI'A. V <br /> PA s v eive OCC . <br /> CS kN WON LOCAL HEALTH DISTRIC I� RECE Byl <br /> POST 0--.1. CALIF.R3ox 2009 <br /> 9520 Maa -�D ' �hn A lie _ . <br /> STOCKTGt:. C 95201 "� � O 17 <br /> ATTN: ENVIRON. HEALTH 6781 TITLE- RECHECKn <br />